James Girly, of the US, speaks with French military rescuers from the Securite Civile after he was brought out of the destroyed Montana Hotel after being trapped for 50 hours Photograph: Nicholas Kamm/AFP/Getty Images

A man holds a child in a makeshift camp for survivors in the 31 Delmar neighbourhood in Port-au-Prince. Afraid to spend the night in their homes, most residents are camping out after the 7.0-magnitude earthquake struck HaitiPhotograph: Gregory Bull/AP

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A massive international air and sea lift of aid to earthquake-devastated Haiti was struggling to overcome ­obstacles in delivering rescue teams and emergency help to the more than 2 million people in need of immediate assistance